CONNECTIONS PROGRAM AGREEMENT RELATING TO TRANSPORTATION BY ADULT VOLUNTEERS, WAIVER AND RELEASE FROM LIABILITY

I, ____________________________________________________________________________________, (Name of Parent/ Guardian) being of full age, and residing at: _____________________________________________________________________________________________ (Address and phone number) hereby permit _________________________________________________________________________________ (Name of Adult Volunteer) and Catholic Charities, Dioceses of Metuchen, New Jersey to transport my child/children: _____________________________________________________________________________________________ (Name of child/children) to and from Connections Program activities. If my child/children participate in a Connections Program activity, the aforementioned Adult Volunteer will inform me of the anticipated date, location, departure time, and return home time relating to the Connections Program activity. I reserve the right to refuse my child/childrens participation in any Connections Program activity. IN CONSIDERATION for the transportation and participation in Connection Program activities, I agree to the following: 1. I agree to indemnify, defend, hold harmless and release Catholic Charities, Dioceses of Metuchen, its directors, trustees, officers, agents, employees, servants, volunteers and the aforementioned Adult Volunteer from any and all lawsuits, damages, claims, judgments, losses, liability or expenses arising out of the death, personal injury, illness or property damage to, myself or my child/children, relating to the transportation or participation in Connections Program activities. All of the terms above shall apply whether or not caused by the alleged negligence or any other act or omission of Catholic Charities, Dioceses of Metuchen, its directors, trustees, officers, agents, employees, servants, volunteers and the aforementioned Adult Volunteer.

I have read and agree to the terms listed above. I fully understand the terms contained in this agreement, waiver and release. I sign this agreement, waiver and release willingly and of my own volition. I understand that by signing this form I am giving up substantial rights.

___________________________________ Parent/Guardian

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___________________________________ Jeanette Nadonley / Rosi Pena

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